| NPI | 1376229872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIJON WASHINGTON Partner 714-341-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 101Y00000X Counselor |
| 171400000X Health & Wellness Coach | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |